Evidence map›Paper›PMID 41462116›Full record

ArticleBMC gastroenterology2025

Volatile organic compounds in exhaled breath as non-invasive biomarkers for Gastrointestinal motility disorders: an exploratory study.

Kim W E Sweerts, José M Conchillo, Daniel Keszthelyi, Danielle M Pachen, Agnieszka Smolinska, Zlatan Mujagić

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Article in BMC gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Kim W E SweertsDepartment of Gastroenterology and Hepatology, Maastricht University Medical Center (MUMC+), Maastricht, The Netherlands. kim.sweerts@maastrichtuniversity.nl.
José M ConchilloDepartment of Gastroenterology and Hepatology, Maastricht University Medical Center (MUMC+), Maastricht, The Netherlands.
Daniel KeszthelyiDepartment of Gastroenterology and Hepatology, Maastricht University Medical Center (MUMC+), Maastricht, The Netherlands.
Danielle M PachenNUTRIM, Institute of Nutrition & Translational Research in Metabolism, Maastricht University, Maastricht, the Netherlands.
Agnieszka Smolinska *NUTRIM, Institute of Nutrition & Translational Research in Metabolism, Maastricht University, Maastricht, the Netherlands.
Zlatan Mujagić *Department of Gastroenterology and Hepatology, Maastricht University Medical Center (MUMC+), Maastricht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsGastrointestinal (GI) motility disorders are characterized by abnormalities in the motor functions of the GI tract. The diagnostic evaluation of these disorders frequently involves invasive and time-consuming examinations, for which access may be limited. Volatile organic compounds (VOCs) could serve as non-invasive alternative. Therefore, the aim of this study was to explore the potential of exhaled breath VOCs as biomarkers in patients with GI symptoms and potential GI motility disorders.

methodsIn this exploratory, prospective study, breath samples were obtained from patients undergoing ambulatory motility tests as part of routine clinical care. VOCs in exhaled breath were assessed using thermal desorption chromatography-mass spectrometry (TD-GC-MS). The resulting data were subsequently pre-processed and analyzed using machine learning approaches.

resultsHundred participants were included in the analysis, of whom 67 were women (67%), with a median age of 56.5 years (IQR: 29.8). The diagnostic work-up comprised 55 gastric emptying tests, 55 high-resolution esophageal manometries, 3 antroduodenal manometries, and 1 colon manometry. These examinations resulted in 48 motility disorder diagnoses, while 51 patients showed no evidence of motility abnormalities. Fifteen VOCs were identified as most discriminative markers for the presence or absence of GI dysmotility, with a sensitivity of 75%, and specificity of 60%.

conclusionsVOCs in exhaled breath show promise to distinguish patients with GI motility disorders from those without, in a population of patients with GI symptoms. Future research is warranted to further refine and validate these results in a larger cohort and to explore the diagnostic performance of VOCs in specific subtypes of motility disorders.

Indexed as

Gastrointestinal DiseasesGastrointestinal MotilityVolatile Organic CompoundsAdultAgedBiomarkersBreath TestsFemaleGas Chromatography-Mass SpectrometryHumansMaleManometryMiddle AgedProspective StudiesBiomarkersVolatile Organic CompoundsGastrointestinal motility disordersMotility testsNon-invasive testingVolatile organic compounds

Identifiers

PMID41462116
PMCPMC12859825

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